Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Jane Abt-Fagan

Individual provider Specialist · NPI 1700396686

Mary Jane Abt-Fagan is a Specialist in East Syracuse, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017

Practice location Address checks out

6575 Kirkville Rd
East Syracuse, NY 13057-9809
Phone: (315) 701-5710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NY)

Record details

NPI number1700396686
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 5, 2017
Last updated in NPPESJuly 21, 2022

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